Your Name *

First Name

Last Name

Your Phone *

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Host Name (if different)

First Name

Last Name

Venue Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Type *

Please select all that apply.

International Conference

Domestic Conference

TV Appearance

Church Service

Bible School

PLEASE CHECK IF YOU UNDERSTAND AND AGREE *

I understand that Dr. Edwards may or may not be available for the dates requested above. I also understand that Dr. Edwards may bring product to sell as this is a part of his ministry support to reach the globe. Dr. Edwards' assistant will reach out within a timely manner of this request to confirm availability.

I understand and agree